Levittown Public Schools District Forms
Health Office Forms
Health
- Body Mass Index (BMI) Survey Exclusion Waiver
- Breakfast Survey
- Como solicitar comidas gratuitas o a precio reducido
- Levittown Public Schools Free and Reduced Meal Program Application
- Levittown Public Schools Free and Reduced Meal Program Application (Spanish)
- Levittown Public Schools Free and Reduced Meal Program Brochure
- Levittown Public Schools Free and Reduced Meal Program Brochure (Spanish)
- NYS Dept of Health Toolkit
Nurse Office Forms
- (Asthma) Nebulizer Usage
- (Asthma) Nebulizer Usage - Spanish
- Allergy Food Action Plan
- Attestation To Self-Administer And Carry Medication
- Certificate of Immunization
- Change of Immunization Requirements for School
- Dental Examination Form
- Interval Health History Form
- Medical History Form
- Medical Request For Mask Exemption
- NYS Working Papers - Application For Employment Certificate (AT-17)
- NYS Working Papers - Application For Employment Permit (AT-22)
- Opioid Overdose - NARCAN Administration Protocol
- Request for Administration of Medication
- Required NYS School Health Examination Form
- Return to School Medical Clearance Form
- USO Y TRANSPORTE DE MEDICAMENTOS INDEPENDIENTES
Human Resources Forms
- IRS - W4 - Employee's Withholding Allowance Certificate
- LPS - Consultant Approval Form
- LPS - Excused Leave for Cancer Screening - Instructional and Non-Instructional Staff
- LPS - Leave Replacement Authorization
- LPS - Parents Right to Know Form
- LPS - Request for Business Day - Instructional and Non-Instructional Staff
- NYS - IT-2104 - Employee's Withholding Allowance Certificate
- NYS Retirement System - RS 5127 - Designation of Beneficiary With Contingent Beneficiaries
- NYS Retirement System - RS 5420 - Employees' Retirement System Membership Registration
- NYS Retirement System - RS 5483 - Name Change Notice
- NYS Retirement System - RS 5512 - Change of Address Form
- NYS Teachers' Retirement System - GRE-50 - Active Member Name and Address Change
- NYS Teachers' Retirement System - NET-11-4 - Designation Of Beneficiary
- NYS Teachers' Retirement System - NET-2 - Application
Music Department Forms
- Levittown Public Schools Instrument Maintenance Guidelines and Contract
- Levittown Public Schools Instrument Maintenance Guidelines and Contract - Spanish
- NYSSMA Information and Registration Form (GENERAL REGISTRATION-NON PIANO)
- NYSSMA Information and Registration Form (PIANO ONLY)
- NYSSMA Payments (MySchoolBucks)